Active NPI
Good Samaritan Hospital
- Specialist
- Suffern, NY
National Provider Identifier
1124268768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GOOD SAMARITAN HOSPITAL
- Practice address
- 255 Lafayette Ave
Suffern, NY 10901-4812 - Phone
- (845) 368-5000
- NPI assigned
- Feb 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gail Williamsen
- Title
- Billing Supervisor
- Phone
- (845) 987-3973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
255 Lafayette Ave
Suffern, NY 10901-4812
Mailing address
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000
Other names 1
- GSH Radiation Oncology
National Provider Directory
National Provider Directory- Tax ID family
- Good Sam Hos Suf-Pul Sys
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235347200000",
"number": "1124268768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014812",
"telephone_number": "845-368-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014812",
"telephone_number": "845-368-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A",
"authorized_official_last_name": "WILLIAMSEN",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "845-987-3973"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GSH Radiation Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.